BENEFIT ELECTIONS Sample Clauses

BENEFIT ELECTIONS. See marketing materials for benefit options available by group size. A copy of the sold proposal for Life and Disability benefits must be signed and attached. ❑ Medical ❑ Group Basic Life ❑ Group Dental Prior dental coverage? ❑ Yes ❑ No ❑ 10+ eligible employees; with orthodontia? ❑ Yes ❑ No ❑ 3 to 9 eligible employees (orthodontia not available) ❑ Voluntary Vision - select one ❑ 12/12/12 ❑ 12/12/24 ❑ Supplemental Life (3 to 9 eligible employees) ❑ Voluntary Life (10+ eligible employees) ❑ Voluntary Dependent Life (10+ eligible employees) Additional No-cost Services Separate forms are required to set up each of these services. ❑ CBIA COBRA Administration ❑ CBIA HRA Administration ❑ Voluntary Dental ❑ Short-term Disability* - select one ❑ Group ❑ Voluntary ❑ Voluntary Accident & Illness Benefits ❑ Long-term Disability* - select one ❑ Group ❑ Voluntary Note: LTD is not available to employees who work fewer than 30 hours per week. ❑ CBIA Healthy Connections Wellness Program * If electing STD or LTD coverage an original completed Tax Service Agreement must be submitted. Separate Tax Service Agreements are required if electing both STD and LTD coverage. RETIRED EMPLOYEES—A retired employee is defined as a former employee who is age 65 or older and worked for your company as a full time employee for a minimum of 10 years and was retired by your company. Coverage is not available to retirees under age 65. Are you selecting retiree coverage? ❑ Yes ❑ No Check the retiree group you are selecting coverage for: ❑ Existing and future retired employees ❑ Existing only ❑ Future only Check all the retiree coverages you are applying for: ❑ Medical ❑ Dental ❑ Group Basic Life (AD&D discontinued at retirement) ❑ Voluntary Dental ❑ Voluntary Vision Retirees are only eligible for coverage in Medicare plans offered in CBIA Health Connections. 6 AGENT INFORMATION I designate Agent of Record as: Address (Street) Address (City, State, ZIP Code) Agency The undersigned agent attests they are individually, and the applicable commissionable agent, are duly licensed and have the required training and appointments with the appropriate government agency, authority, and carrier(s) to solicit enrollment of qualified employees or former employees of an employer participating in CBIA Health Connections and also specifically into a Medicare Advantage with Prescription Drug “MAPD” Plan. The agent of record represents that he/she is authorized to execute this Agreement on behalf of the commissio...
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BENEFIT ELECTIONS. The form of payment of Executive's Normal Retirement Benefit, Disability Benefit and Change of Control Benefit in effect on December 31, 2007, on the Form of Benefit Election attached as Exhibit II to the Agreement is irrevocable as of December 31, 2007, and may not be subsequently changed except in accordance with the following restrictions:
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BENEFIT ELECTIONS. A copy of the sold proposal for Life and Disability benefits must be signed and attached. ❑ Group Basic Life ❑ Contributory ❑ Non-contributory ❑ Voluntary Life ❑ Voluntary Dependent Life ❑ Voluntary Dental ❑ Voluntary Vision - select one ❑ 12/12/12 ❑ 12/12/24 ❑ Short-term Disability* - select one ❑ Group ❑ Contributory ❑ Non-contributory ❑ Voluntary ❑ Long-term Disability* - select one ❑ Group ❑ Contributory ❑ Non-contributory ❑ Voluntary Note: LTD is not available to employees who work fewer than 30 hours per week. Additional No-cost Services Separate forms are required to set up each of these services. ❑ CBIA COBRA Administration ❑ CBIA Healthy Connections Wellness Program * If electing STD or LTD coverage an original completed Tax Service Agreement must be submitted. Separate Tax Service Agreements are required if electing both STD and LTD coverage.
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BENEFIT ELECTIONS. 36 7.04 Distributions Under Domestic Relations Orders ............... 37 7.05
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BENEFIT ELECTIONS. Not earlier than 90 days, but not later than 30 days, before a Participant's or Beneficiary's Annuity Starting Date, the Plan Administrative Committee must provide a benefit notice to a Participant or Beneficiary who is eligible to make an election under Section 7.01. The benefit notice must explain the form of benefit distribution available under the Plan and the Participant's or Beneficiary's right to defer distribution. If a Participant or Beneficiary makes a valid election prescribed by this Section 7.03, the Plan Administrative Committee shall direct the Trustee to distribute the Participant's Nonforfeitable Accrued Benefit in accordance with the election. The Participant or Beneficiary must make an election under this Section 7.03 by filing his election form with the Plan Administrative Committee before the Trustee otherwise would commence to pay a Participant's Accrued Benefit in accordance with the requirements of this Article VII.
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BENEFIT ELECTIONS. To the extent that Graduate Workers are eligible to elect benefits, the University will ensure that there will be sufficient enrollment opportunities to do so.
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Related to BENEFIT ELECTIONS

  • Benefit Eligibility For purposes of the Benefit Plan entitlement, common-law and same sex relationships will apply as defined.

  • Joint Election As a condition of the Units granted hereunder, you agree to accept any liability for secondary Class 1 National Insurance Contributions (the “Employer NICs”), which may be payable by the Company or your Employer with respect to the Units and/or payment of the Units and issuance of Shares pursuant to the Units, the assignment or release of the Units for consideration, or the receipt of any other benefit in connection with the Units. Without limitation to the foregoing, you agree to make an election (the “Election”), in the form specified and/or approved for such election by HMRC, that the liability for your Employer NICs payments on any such gains shall be transferred to you to the fullest extent permitted by law. You further agree to execute such other elections as may be required between you and any successor to the Company and/or your Employer. You hereby authorize the Company and your Employer to withhold such Employer NICs by any of the means set forth in Section III of the Agreement. Failure by you to enter into an Election, withdrawal of approval of the Election by HMRC or a joint revocation of the Election by you and the Company or your Employer, as applicable, shall be grounds for the forfeiture and cancellation of the Units, without any liability to the Company or your Employer.

  • 83(b) Election You may make and file with the Internal Revenue Service an election under Section 83(b) of the Code with respect to the grant of the Restricted Shares hereunder, electing to include in your gross income as of the Grant Date the Fair Market Value of the Restricted Shares as of the Grant Date. You shall promptly provide a copy of such election to the Company. If you make and file such an election, you shall make such arrangements in accordance with Section 8 as are satisfactory to the Committee to provide for the timely payment of all applicable withholding taxes.

  • Deferral Election A Participant may elect to defer all or a specified percentage of the Compensation earned in a Plan Year by such Participant for serving as a member of the Board of any Participating Fund or as a member of any committee or subcommittee thereof. Reimbursement of expenses of attending meetings of the Board, committees of the Board or subcommittees of such committees may not be deferred. Such election shall be made by executing before the first day of such Plan Year such election notice as the Administrator may prescribe; provided, however, that upon first becoming eligible to participate in the Plan by reason of appointment to a Board, a Participant may file a Deferral Election not later than 30 days after the effective date of such appointment, which election shall apply to Compensation earned in the portion of the Plan Year commencing the day after such election is filed and ending on the last day of such Plan Year.

  • Full Employer Contribution - Basic Eligibility Employees covered by this Agreement who are scheduled to work at least seventy-five (75) percent of the time are eligible for the full Employer Contribution. This means:

  • Regular Benefits The Executive shall also be entitled to participate in any and all employee benefit plans, medical insurance plans, life insurance plans, disability income plans, retirement plans, bonus incentive plans and other benefit plans from time to time in effect for senior executives of the Employer. Such participation shall be subject to (i) the terms of the applicable plan documents, (ii) generally applicable policies of the Employer and (iii) the discretion of the Board of Directors of the Employer or any administrative or other committee provided for in or contemplated by such plan.

  • Section 83(b) Election Purchaser understands that Section 83(a) of the Code, taxes as ordinary income the difference between the amount paid for the Stock and the fair market value of the Stock as of the date any restrictions on the Stock lapse. In this context, "restriction" includes the right of the Company to buy back the Stock pursuant to the Repurchase Option set forth in Section 2(a) above. Purchaser understands that Purchaser may elect to be taxed at the time the Stock is purchased, rather than when and as the Repurchase Option expires, by filing an election under Section 83(b) of the Code (an "83(b) Election") with the Internal Revenue Service in the form attached hereto as Exhibit C within thirty (30) days from the date the Stock is purchased. Even if the fair market value of the Stock at the time of the execution of this Agreement equals the amount paid for the Stock, the 83(b) Election must be made to avoid income under Section 83(a) of the Code in the future. Purchaser understands that failure to file such an 83(b) Election in a timely manner may result in adverse tax consequences for Purchaser. Purchaser further understands that an additional copy of such 83(b) Election is required to be filed with his or her federal income tax return for the calendar year in which the date of this Agreement falls. Purchaser acknowledges and understands that it is solely Purchaser's obligation and responsibility to timely file such 83(b) Election, and neither the Company nor the Company's legal or financial advisors shall have any obligation or responsibility with respect to such filing. Purchaser acknowledges that the foregoing is only a summary of the effect of United States federal income taxation with respect to purchase of the Stock hereunder and does not purport to be complete. Purchaser further acknowledges that the Company has directed Purchaser to seek independent advice regarding the applicable provisions of the Code, the income tax laws of any municipality, state or foreign country in which Purchaser may reside, and the tax consequences of Purchaser's death. Purchaser assumes all responsibility for filing an 83(b) Election and paying all taxes resulting from such election or the lapse of the restrictions on the Stock.

  • Salary Benefits and Bonus Compensation 3.1 BASE SALARY. Effective July 1, 2000, as payment for the services to be rendered by the Employee as provided in Section 1 and subject to the terms and conditions of Section 2, the Employer agrees to pay to the Employee a "Base Salary" at the rate of $180,000 per annum, payable in equal bi-weekly installments. The Base Salary for each calendar year (or proration thereof) beginning January 1, 2001 shall be determined by the Board of Directors of Avocent Corporation upon a recommendation of the Compensation Committee of Avocent Corporation (the "Compensation Committee"), which shall authorize an increase in the Employee's Base Salary in an amount which, at a minimum, shall be equal to the cumulative cost-of-living increment on the Base Salary as reported in the "Consumer Price Index, Huntsville, Alabama, All Items," published by the U.S. Department of Labor (using July 1, 2000, as the base date for computation prorated for any partial year). The Employee's Base Salary shall be reviewed annually by the Board of Directors and the Compensation Committee of Avocent Corporation.

  • Continuation of Elections Effective as of the Distribution Date, SpinCo (acting directly or through one or more members of the SpinCo Group) shall cause the SpinCo Sales Executives Plan to recognize and maintain all existing elections, including, but not limited to, investment and payment form elections, beneficiary designations, and the rights of alternate payees under qualified domestic relations orders with respect to SpinCo Sales Executives Plan Participants under the RemainCo Sales Executives Plan, to the extent such election or designation is available under the SpinCo Sales Executives Plan.

  • Contribution Eligibility You are eligible to make a regular contribution to your Xxxx XXX, regardless of your age, if you have compensation and your MAGI is below the maximum threshold. Your Xxxx XXX contribution is not limited by your participation in an employer-sponsored retirement plan, other than a Traditional IRA.

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